Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $613.90 / $613.90 / $613.90	Facility	26	$613.90	$613.90	$613.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.84 / $1,863.70 / $1,863.70	Professional		$638.84	$1,863.70	$1,863.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $199.84 / $703.14 / $703.14	Professional	26	$199.84	$703.14	$703.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,555.12 / $1,555.12 / $1,833.67	Professional		$1,555.12	$1,555.12	$1,833.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $597.03 / $597.03 / $700.57	Professional	26	$597.03	$597.03	$700.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $811.30 / $1,782.63 / $3,214.75	Professional		$811.30	$1,782.63	$3,214.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $489.25 / $587.10 / $630.15	Professional	26	$489.25	$587.10	$630.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,135.00 / $2,452.94 / $5,209.39	Professional		$2,135.00	$2,452.94	$5,209.39
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $710.00 / $801.90 / $1,732.40	Professional	26	$710.00	$801.90	$1,732.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,196.67 / $2,271.25 / $4,697.00	Professional		$1,196.67	$2,271.25	$4,697.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $700.57 / $855.00 / $1,732.40	Professional	26	$700.57	$855.00	$1,732.40
United Facility/Professional Professional Modifier Low / Median / High Price $894.60 / $2,200.41 / $6,356.85	Professional		$894.60	$2,200.41	$6,356.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $294.48 / $840.69 / $2,364.75	Professional	26	$294.48	$840.69	$2,364.75